Value Based Care Director - Select Health

Intermountain Healthcare Inc.; Murray (UT); Hybride; USD 120 000 - 190 000; Plein temps

Résumé du poste

Intermountain Healthcare Inc. in Murray, Utah, seeks a Proactive Care Director to lead value-based care strategy across Medicare Advantage and other risk-based lines of business.

You will design provider risk arrangements, align incentives, and drive sustainable payment models in partnership with finance, clinical operations, and analytics. This hybrid, full-time role requires deep VBC expertise, strategic influence with executive leadership, and a proven ability to scale risk arrangements while

Qualifications

• Bachelor’s degree or related field required.
• 10+ years of experience in value-based care, provider strategy, healthcare finance, or managed care.
• 7+ years designing or managing provider risk arrangements or value-based programs.
• Experience with partial/full capitation, global budgets, population-based payment models.
• Experience aligning quality, utilization management, care management, and population health with VBC performance goals.
• Experience working with providers, health systems, or physician organizations.
• Proven ability to lead cross-functional initiatives across clinical, financial, and operational teams.

Responsabilités

• Develop and execute enterprise value-based care strategy across Medicare Advantage and other lines of business.
• Design and oversee provider risk arrangements (shared savings, downside risk, capitation, global budgets).
• Partner with Finance and Actuarial teams on financial sustainability and risk adjustment accuracy.
• Establish provider performance frameworks aligning quality, cost, utilization, and experience metrics.
• Lead development of provider incentives, scorecards, and performance reporting.
• Collaborate with Clinical Operations to align care management and population health with VBC goals.
• Define performance measurement, attribution, benchmarking, and forecasting withAnalytics teams.
• Serve as a senior leader in provider engagement including contract negotiations and strategic planning.
• Oversee governance for value-based programs (executive committees, provider councils).
• Monitor market trends and CMS policy changes; translate into strategic recommendations.
• Drive adoption of value-based workflows across internal teams and provider orgs.
• Support enterprise initiatives aligning VBC strategy with quality, consumer experience, and Star Ratings.

Connaissances

Strategic planning

Financial management

Contracting

Risk contracts

Financial modeling

Analytical skills

Written / verbal communication

Presentation skills

Provider engagement

Dashboard development

Formation

Bachelor’s degree in Healthcare Administration, Business, Finance, Public Health, or a related field

Description du poste

Hybrid Work

SelectHealth - Murray

Full time

R172969

Job Description:

The Proactive Care Director is responsible for the development, execution, and optimization of the organization’s value-based care (VBC) strategy across Medicare Advantage and other risk-based lines of business. This role provides enterprise leadership for provider risk arrangements, payment model design, performance management, and the integration of clinical, financial, and operational strategies to improve quality, experience, and total cost of care.

The Director partners closely with executive leadership, provider organizations, and internal clinical and financial teams to advance value-based transformation while maintaining strong provider relationships and financial sustainability.

We will consider candidates who live in, or are willing to relocate to, Utah for this position.

The Proactive Care Director leads the organization’s approach to value-based contracting and performance strategy. This role is accountable for defining risk models, setting performance expectations, aligning incentives, and ensuring that value-based arrangements drive measurable improvements in quality, member experience, and cost outcomes.

The position serves as a strategic bridge between providers, clinical operations, finance, and analytics, translating enterprise goals into actionable provider strategies and sustainable payment models. Success in this role requires deep expertise in value-based care models, strong financial and analytical skills, and the ability to influence provider behavior at scale.

Essential Functions

• Develop and execute the enterprise value-based care strategy across Medicare Advantage and other applicable lines of business.

• Design and oversee provider risk arrangements, including shared savings, downside risk, capitation, and global budget models.

• Partner with Finance and Actuarial teams to ensure financial sustainability, risk adjustment accuracy, and margin performance.

• Establish provider performance frameworks that align quality, cost, utilization, and experience metrics.

• Lead the development of provider incentives, scorecards, and performance reporting.

• Partner with Clinical Operations to align care management, utilization management, and population health strategies to VBC goals.

• Collaborate with Analytics teams to define performance measurement, attribution, benchmarking, and forecasting.

• Serve as a senior leader in provider engagement, including contract negotiations, performance reviews, and strategic planning.

• Oversee governance structures for value-based programs, including executive committees and provider councils.

• Monitor market trends, CMS policy changes, and emerging value-based models; translate into strategic recommendations.

• Drive adoption of value-based workflows and accountability across internal teams and provider organizations.

• Support enterprise initiatives that align value-based strategy with quality performance, consumer experience, and Star Ratings.

• Communicate progress, risks, and opportunities to executive leadership and Boards.

Skills

• Strategic planning

• Financial management

• Contracting

• Risk contracts

• Financial modeling

• Analytical skills

• Written / verbal communication

• Presentation skills

• Provider engagement

• Dashboard development

Minimum Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Finance, Public Health, or a related field.

• Ten (10) or more years of progressive experience in value-based care, provider strategy, healthcare finance, or managed care.

• Seven (7) or more years of experience designing or managing provider risk arrangements or value-based programs.

• Demonstrated success designing and scaling advanced risk arrangements, including partial and full capitation, global budgets, or population-based payment models.

• Experience aligning quality, utilization management, care management, and population health programs to value-based performance goals.

• Demonstrated experience working directly with providers, health systems, or physician organizations.

• Proven ability to lead cross-functional initiatives across clinical, financial, and operational teams.

Preferred Qualifications

• Experience leading enterprise value-based care strategy within a Medicare Advantage organization, provider-sponsored health plan, or integrated delivery system.

• Familiarity with risk adjustment, Star Ratings, quality bonus payments, and CMS policy as they relate to value-based strategy in Medicare Advantage.

Location:

SelectHealth - Murray

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$59.50 - $91.84

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.

Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

To find out more about us, head to our career site here (https://intermountainhealthcare.org/careers/?utm_source=Workday&utm_medium=Redirect&utm_campaign=CareerHome_workday) .

Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email [e-mail] . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/peak-program/)

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

All positions subject to close without notice.

Thanks for your interest in continuing your career with our team!